Psychopolitical validity in the helping professions: applications to research, interventions, case conceptualization, and therapy

What is preventing the advancement of liberation psychiatry? Why is it that after so many volumes of critique, the helping professions are still firmly grounded in traditional medical models (Prilleltensky, 1994; Teo, 2005)? How can we challenge the regnant deficit, reactive, disempowering, and individualistic oriented approaches in psychology, psychiatry, social work, counseling, and allied professions? This chapter is a modest attempt to translate the abundant theoretical critique of the helping professions into practical guidelines for action. In our view, there is a wide gap between the cogent reservations about dominant paradigms and actionable formulations. Unless we manage to convert critique into construction, and deliberation into delivery of new practices, the gap between discourse and action will continue to grow, leaving behind a trail of doubly disaffected practitioners; disaffected with the medical model, and disaffected with critical approaches that fail to suggest convincing alternatives for practice. We build our case for action around the concept of psychopolitical validity. Following an introduction of the construct and its rationale, we articulate its implications for research, interventions, case conceptualization and therapy. The first two areas of interest apply to all the helping professions, whereas the last two pertain more directly to therapeutic interventions.